DATA KESEHATAN

GIGI DAN MULUT

Oleh :
Sulur Joyo Sukendro,S.Si.T

Sumber Data
Data :

Bahan mentah,

Sampel,

Kenyataan,

Fakta,

Realita, kejadian,

Pengetahuan,

Perilaku, dll

Pemanfaatan Data
STATISTIK &
FUNGSI MANAJEMEN

DATA
INFORMASI

1
Jenis, Sumber & Karakteristik Data
1. Jenis Data
a. Kategori
b. Numerik
2. Sumber Data
a. Primer : survey, patient record : konventional &
komputer
b. Sekunder : Perilaku pasien
c. Tertier ; pihak ke-3
3. Karakteristik Data
a. Akurat  sesuai
b. Valid  dapat dipertanggungjawabkan
c. Reliabel  “ajeg” /kepercayaan
d. Presisi  tepat
e. Reproducsibilitas  pemanfaatan ulang

Survey Kesehatan Gigi&Mulut

Tujuan : memperkirakan status kesgimul
masyarakat pada masa kini serta kebutuhan
perawatan masa mendatang secara beralasan.

Adanya standar : diantaranya Th 1969:
International Classification of Disease
Application to Dentistry and Stomatology (ICD-
DA)  ICD-X

Menjamin data yang dikumpulkan dapat
dibandingkan

Administrator di semua negara melakukan hal
yang sama sebagai dasar perencanaan dan
evaluasi kesgimul.

Survey Kesehatan Gigi&Mulut

Rancangan survey

Pengorganisasian survey

Tingkat kepercayaan survey

Pelaksanaan survey

Formulir survey

Kegiatan Pasca survey

Pelaporan survey

2
 INTERNATIONAL
CLASSIFICATION OF DISEASES-
DISEASES-
10 (ICD – X)
TENTH REVISION, WHO,1989

Klasifikasi Penyakit didefinisikan sebagai :

A system of categories to which morbid entities
are assigned according to established criteria.
There are many possible axes of classification
and the one selected will depend upon the use to
be made of statistics to be compiled.
A statistical classification of diseases must
encompass the entire range of morbid condition
within a manageable number of categories.

• Ada 3 volume ICD-X :

• Volume I. Tabular List
Berisi Laporan dari Konferensi
Internasional untuk Revisi ke 10,
klasifikasi sendiri ada 3 dan 4
tingkatan sifat (character) dan
katagori:
–Klasifikasi morfologi neoplasma
–Daftar tabulasi khusus untuk
ksakitan dan kematian
–Definisi/pengertian
–Peraturan tatanama (Nomenclature
regulation)

VOLUME II
• Instruction Manual
• Memberikan bersama-sama catatan
pada sertifikasi dan klasifikasi meliputi
Volume I terdahulu dg suatu hal penting
ttg latar belakang baru dan bahan
instruksional dan pedoman penggunaan
Volume I, dalam tabulasi, perencanaan
pemakaian ICD, yang masih kurang
pada revisi sebelumnya. Juga termasuk
asal materi terdahulu pada Volume I.

3
 VOLUME III
• Alphabethical Index
• Menampilkan index dengan
pengantar dan instruksi terinci pada
penggunaannya.

Konferensi Internasional WHO,1989 untuk

Revisi ke 10 ICD-
ICD-10, dihadiri dan disetujui
resolusi oleh 43 anggota World Health
Assembly sbb:
sbb:
I. Menyetujui rekomendasi Konperensi :
1. daftar rincian dari 3 kategori karakter dan 4
subkategori pilihan dengan daftar tabulasi singkat
untuk Mortality dan Morbidity, menetapkan
International Statistical Classification of Diseases
and Related Health Problems Revisi ke 10, berlaku
pada 1 Januari 1993
2. definisi, standar dan kebutuhan pelaporan terkait
dengan kematian ibu hamil, bayi dlm kandungan,
kelahiran/bayi lahir , bayi baru lahir, dan anak.
3. peraturan dan instruksi untuk mendasari
penyebab
kematian dan kondisi utama untuk morbiditas.

II. Meminta Direktur Jenderal untuk

menyebar luaskan Manual ICD
dan Related Health Problems.
Problems.
III. Mensahkan rekomendasi Konferensi mengenai :
1. Konsep dan pelaksanaan dari penyakit keluarga
(fam.Disease) dan klasifikasi yang berhubungan,
dengan ICD dan Masalah Kesehatan Terkait
sebagai
klasifikasi inti meliputi beberapa klasifikasi
tambahan
yang terkait dan International Nomenclature of
Diseases.
2. Menentukan suatu pembaharuan proses revisi 10
tahunan secara periodic.

4
 Chapter I
Certain infectious and parasitic diseases (A00 –
B99)
Includes: diseases generally recognized as
communicable or transmissible
Viral infections characterized by skin and
mucous membrane lesions (B00 – B09)
A50 Congenital syphilis
• A50.1 Other late congenital syphilis, symptomatic
Any congenitalsyphilitic condition specified as
late or manifest two years or more after birth
Hutchinson’s :
Teeth, Triad
Late congenital
Syphilitic saddle nose

A69 Other spirochaetal infections

• A69.0 Necrotizing ulcerative stomatitis
Cancrum oris, Fusospirochaetal
gangrene, Noma, Stomatitis gangrenosa
• A69.1 Other Vincen’t infections
Fusospirochaetal pharyngitis
Necrotizing ulcerative (acute):
gingivitis, gingivo stomatitis,
Spirochaetal stomatitis, Trench
mouth,Vincent’s: Angina,Gingivitis
A69.9 Spirochaetal infectio, unspecified

B00 Herpesviral (herpes simplex)

infections
• B00.1 Herpesviral vesicular dermatitis
Herpes simplex: facialis, labialis
• B00.2 Herpesviral gingivostomatitis and
pharyngotonsilitis.
Herpesviral pharyngitis
B37 Candidiasis,
Includes : candidosis, moniliasis
• B37.0 Candidal stomatitis
- Oral thrush
• B37.8 Candidiasis of other sites,
candidal: cheilitis, enteritis
• B37.9 Candidiasis unspecified
- Thrush NOS

5
CHAPTER II
Neoplasm (C00 – D48)
Malignant Neoplasms (C00 – C 97)
Malignant neoplasms of lip and oral
cavity
and pharynx (C00 – C14)
C00 Malignant neoplasms of
Lip.
Excludes : skin of lip (C43.0,
C44.0)

• C00.0 External upper lip

Upper lip:
NOS
Lipstik area
Vermillion border
• C00.1 External lower lip
Lower lip :
NOS
Lipstik area
Vermillion border

• C00.2 External lip, unspecified

Vermillion border NOS
• C00.3 Upper lip, inner aspect
Upper lip:
- buccal aspect
- frenulum
- mucosa
- oral aspect

6
• C00.4 Lower lip, inner aspect
Lower aspect:
- buccal aspect
- frenulum
- mucosa
- oral aspect
• C00.5 Lip, unspcified, inner aspect
- buccal aspect
- frenulum
- mucosa
- oral aspect

• C00.6 Commisure of lip

• C00.8 Overlapping lesion
• C00.9 Lip, unspecified
C01 Malignant neoplasm of tongue
- Dorsal surface of base of tongue
- Fixed part of tongue NOS
- Posterior third of tongue
C02 Malignant neoplasm of other
unspecified parts of tongue
• C02.0 Dorsal surface of tongue
- Anterior two third of tongue, dorsal
surface
- Excludes: dorsal surface of base of
tongue

• C02.2 Ventral surface of tongue

- Anterior two-
two-thirds of tongue,
ventral
surface
- Frenulum linguae
• C02.3 Anterior two-thirds of tongue, part NOS
- Middle third of tongue NOS
- Mobile part of tongue NOS
• C02.4 Lingual tonsil
- Excludes: tonsil NOS (C09.9)
• C02.8 Overlapping lesion of tongue
- Malignant neoplasm of tongue whose
point of origin cannot be classified to any
one of the categories C01 – C02.4

7
 • C02.9 Tongue unspecified
C03 Malignant neoplasm of gum
Includes: alveolar (ridge) mucosa, gingiva
Exclude: malignant odontogenic
neoplasm (C41.0 – C41.1)
• C03.0 Upper gum
• C03.1 Lower gum
• C03.9 Gum, unspecified
C04 Malignant neoplasm of floor of mouth
• C04.0 Anterior floor of mouth
Anterior to premolar-canine junction

• C04.1 Lateral floor of mouth

C04.8 Overlapping lesion of floor of mouth
C04.9 Floor of mouth unspecified

C05 Malignant neoplasm of palate

• C05.0 Hard palate
• C05.1 Soft palate
Excludes: nasopharyngeal surface of soft
palate (C11.3)
• C05.2 Uvula
• C05.8 Overlapping lesion of palate
• C05.9 Palate, unspecified
Roof of mouth

• C06 Malignant neoplasm of other

and
unspecified parts of mouth
• C06.0 Cheek mucosa
- buccal mucosa NOS
- internal cheek
• C06.1 Vestibule of mouth
- buccal sulcus (upper/lower)
- labial sulcus (upper/lower)
• C06.2 Retromolar area
• C06.8 Overlapping lesion of other and unspec.
part of mouth
• C09.9 Mouth unspec. – minor salivary gland,
unspec site, oral cavity NOS

8
 C07 Malignant neoplasm of
parotid
C08 Malignant neoplasm of other and
unspec. major salivary glands
Excludes: malignant neoplasms of spec.
minor salivary glands which are classified
according to their anatomical location.
malignant neoplasm of minor salivary glands
NOS (C06.9)
parotid gland (C07)
• C08.0 Submandibular gland, submaxillary gland
• C08.1 Sublingual gland

•C08.8 Overlapping lesion of major salivary glands

Malignant neoplasm of major salivary
glands whose point of origin cannot be
classified to any one of categories
C07 – C08.1
C08.9 Major salivary gland, unspecified
Salivary gland (major) NOS
C09 Malignant neoplasm of tonsil
C14 Malignant neoplasm of other and
ill-
ill-define sites in the lip, oral
cavity and pharynx
Excludes: oral cavity NOS (C06.9)
C14.8 Ovelapping lesion of lip, oral cavity and
pharynx

C31 Malignant neoplasm of

accessory sinuses
• C31.0 Maxillary sinus
Antrum (Higmore)(Maxillary)
• C31.1 Ethmoidal
• C31.2 Frontal sinus
• C31.3 Sphenoidal sinus
• C31.8 Overlapping lesion of accessory
sinuses
• C31.9 Accessory sinus, unspec

9
Melanoma and other malignant
neoplasm of Skin (C43 – C44)
C43 Malignant melanoma of skin
• C43.0 Malignant melanoma of lip
Excludes : Vermillion border of lip
(C00.0 – C00.2)
C44 Other malignant neoplasm of skin
Includes: malignant neoplasm of
- sebaceous
- sweat glands
Excludes : Kaposi’s sarcoma
Malignant melanoma of skin
• C44.0 Skin of lip; Basal cell carcinoma of lip
Excludes: malignant neoplasm of lip (C00)

C46 Kaposi’
Kaposi’s sarcoma
• C46.0 Kaposi’s sarcoma of skin
• C46.1 Kaposi’s sarcome of soft tissue
• C46.2 Kaposi’s sarcoma of palate

In Situ Neoplasm
(D00 – D 09)
Many in situ neoplasm are regarded as being
located within a continuum of morphological
change between dysplasia and invasive cancer.
Example : Cervical intraephithelial neoplasm
(CIN) 3 grades are recogniszed,
recogniszed, the third of
which (C III) includes both severe dysplasia
and carcinoma in situ.
D00 Carcinoma in situ of oral cavity,
oesophagus and stomach
D00.0 Lip, oral cavity and pharynx
- Aryepiglottic fold: NOS,
hypopharyngeal
aspect, marginal Zone
- Vermillion border of lip

10
 D03 Melanoma in situ
• D03.0 Melanoma in situ of lip
D04 Carcinoma in situ of skin
• D04.0 Skin of lip
Excludes: Vermillion border of lip
(D00.0)
Benign neoplasm (D10 – D36)
D10 Benign neoplasm of mouth and
pharynx
• D10.0 Lip, (frenulum),(inner aspect),(mucosa)
(Vermillion border)
Excludes : skin of lip (D22.0,D23.0)

• D10.1 Tongue
Lingual tonsil
D10.2 Floor of mouth
• D10.3 Other and unspec parts of mouth
Minor salivary glands NOS
Excludes: Benign odontogenic neoplasm
(D16.4 – D16.5)
Mucosa of lip (D10.0)
Nasopharyngeal surface of soft
palate (D10.6)
• D10.4 Tonsil (Faucial)(palatine)
Excludes: lingual tonsil (D10.1),
pharyngeal tonsil (D10.6),
tonsilar : fossa, pillar (D10.5)

D11 Benign neoplasm of major

salivary glands
Excludes: Benign neoplasm of spec
minor salivary glands which are
classified accoeding to their
anatomical location
Benign neoplasm of minor
salivary glands NOS (D10.3)
• D11.0 Parotid gland
• D11.7 Other major salivary glands
sublingual
submandibular

11
 D11.9 Major salivary gland, unspec

D22 Melanocytic naevi

Excludes: NOS, Blue, Hairy, Pigmented
• D22.0 Melanocytic naevi of lip
D23 Other benign neoplasm of skin
Includes: benign neoplasm of:
Hair follicle, Sebaceous glands, Sweat
glands
Excludes: benign lipomatous neoplasm (D17.0 –
D17.3), melanocytic naevi (D22.-)
• D23.0 Skin of lip
Excludes: vermillion border of lip (D10.0)

D37 Neoplasm of uncertain or

unknown behaviour of oral
cavity
and digestive organs
• D37.0 Lip, oral cavity and pharynx
Aryepiglottic fold:
NOS; Hypopharyngeal aspect;Marginal zone
Major and minor salivary glans
Vermillion border of lip
Exclude: aryepiglottic fold, laryngeal aspect
(D38.0), epiglottis: NOS (D38.0),
supra hyoid portion (D38.0), skin of
lip (D48.5)

Chapter III
Diseases of the blood and blood
forming organs and certain disorders
involving the immune mechanism
(D50 – D89)
D53 Other nutritional anaemias
Includes : megaloblastic anaemia
unresponsive to vit B12 or folate
therapy
• D53.2 Scorbutic anaemia
Excludes: Scurvy (E54)

12
 Chapter IV
Endocrine, nutritional and metabolic
diseases (E00 – E90)
Excludes: complication of pregnancy,
childbirth and the puerperium
(O00-O99)
symptoms, signs and abnormal
clinical and lab. Findings not
elsewhere classified (R00-R99)
transitory endocrine and metabolic
disorder specific to fetus and newborn
(P70-P74)

Other nutritional deficiencies

(E50-
(E50-E64)
Excludes: nutritional anaemias (D50-D53)
E53 Deficiency of other B group vitamins
• E53.0 Ribloflavin deficiency
Ariboflavinosis
E54 Ascorbic acid deficiency
Deficiency of vitamin C
Scurvy
Excludes: scorbutic anaemia (D53.2)
sequle of vitamin C deficiency (E64.2)

Chapter V
Mental and behavioural disorders
(F00-
(F00-F99)

Behavioural syndromes associated with

physiological disturbances and physical
factors (F50-F59)
F50 Eating disorders
Excludes: - anorexia NOS (R63.0)
feeding:
difficulties and mismanagement (R63.3)
disorder of infancy or childhood (F98.2)
- polyphagia

13
 Chapter VI
Diseases of the nervous system
(G00 – G99)
Excludes: Certain conditions originating in
the perinatal period (P00-P96)
Certain infections and parasitic diseases
(A00 – B99)
Complications of pregnancy, childbirth and
the puerperium (O00-O99)
Congenital malformations, deformations,
and chromosome abnormalities (Q00-Q99)

Endocrine, nutritional and

metabolicdiseases
(E00-
E00-E90)
Injury, poisoning and certain other
consequences
of external causes (S00-
(S00-T98)
Neoplasm (C00-
(C00-D48)
Symptoms, sign and abnormal clinical and
laboratory findings, not elswhere classified
(R00-
(R00-
R99)

Chapter VII
Diseases of the eye and adnexa
(H00-
(H00-H59)

Chapter VIII
Diseases of the ear and mastoid process
(H60-H95)

Chapter IX
Diseases of the circulatory system
(I00-I99)

14
Chapter X
Diseases of the respiratory system
(J00 – J99)

Chapter XI
Diseases of the digestive system (K00-K93)
Excludes: certain conditions originating in the perinatal
period (P00-P96)
certain infectious and parasitic diseases(A00-B99)
complications of pregnancy, childbirth and the
puerperium (O00-O99)
congenital malformations, deformitions and
chromosomal abnormalities (Q00-Q99)

endocrine, nutritional and metabolic

diseases (E00-
(E00-E90)
injury, poisoning and certain other consequences of
external causes (S00-
(S00-T98)
neoplasm (C00-
(C00-D48)
symptoms, sign and abnormal clinical and laboratory
findings, not elsewhere classified (R00-
(R00-R99)
This chapter contains the following blocks:
K00-
K00-K14 Diseases of oral avity,
avity, salivary gland and jaws
K20-
K20-K31 Diseases of oesophagus,
oesophagus, stomach and
duodenum
K35-
K35-K38 Diseases of appendix
K40-
K40-K46 Hernia
etc.

Diseases of oral cav,

cav, saliv glands
and jaws (K00 – K14)

K00 Disorders of tooth development

and eruption
Excludes: embedded and impacted teeth
(K01-)
• K00.0 Anodontia
Hypodontia
Oligodontia

15
•K00.1 Supernumerary teeth
Distomolar
Fourth molar
Mesiodens
Paramolar
Supplementary teeth

• K00.2 Abnormalities of size and form of teeth

Concresence
Fusion of teeth
Gemination
Dens: evaginatus
in dente
invaginatus

Enamel pearls
Macrodontia
Microdontia
Peg shaped (conial) teeth
Taurodontism
Tuberculum paramolare
Exclude: Tuberculum carabelli, which is regarded as
a normal variation and should not be coded
• K00.3 Mottled teeth
Dental fluorosis
Mottling enamel
Nonfluoride enamel 0pacities
Excludes:deposites (accretions) on teeth

• K00.4 Disturbancees in tooth formation

Aplasia and hypoplasia of cementum
Dilaceration of tooth
Enamel hypoplasia (neonatal)(postnatal)
(prenatal)
Regional odontodysplasia
Turner’s tooth
Excudes: Hutchinson’s teeth and mulberry
molars in congenital syphilis (A50.5)
mottled teeth (K00.3)
• K00.5 Hereditary disturbances in tooth structure,
not elsewhere classified
Amelogenesis, Dentinogenesis,
Odontogenesis - imperfecta

16
 Dentinal dysplasia
Shell teeth
• K00.6 Disturbances in tooth eruption
Dentia praecox
Natal, Neonatal – tooth
Premature: Eruption of tooth
Shedding of primary tooth
Retained (persistent) primary tooth
• K00.7 Teething syndrome
• K00.8 Other disorders of tooth development
Colour changes during tooth formation
Intrinsic staining of teeth NOS

• K00.9 Disorder of tooth development, unspec.

Disorder of odontogenesis NOS

K01 Embedded and impacted teeth

Excludes: Embedded and impacted teeth with
abnormal position of such teeth or
adjacent teeth (K07.3)
• K01.0 Embedded teeth
An embedded tooth is atooth that has failed to
erupt without obstruction by another tooth
• K01.1 Impacted teeth
An impacted tooth is a tooth that failed to
erupt because of obstruction by another tooth

K02 Dental Caries

• K02.0 Caries limited to enamel
White spot lesions (initial caries)
• K02.1 Caries of dentine
• K02.2 Caries of cementum
• K02.3 Arrested dental caries
• K02.4 Odontoclasia
Infantile melanodontia
Melanodontoclasia
• K02.8 Other dental caries
• K02.9 Dental caries unspecified

17
K03 Other diseases of hard tissues of teeth
Ecludes: Bruxism (F45.8)
Dental caries (K02-)
Teeth grinding NOS (F45.8)
• K03.0 Excessive attrition of teeth
Wear: approximal, occlusal - of teeth
• K03.1 Abrasion of teeth
Abrasion: dentifrice, habitual, occupational,
ritual, tradisional of teeth
Wedge defect NOS
• K03.2 Erosion of teeth
NOS

Due to: diet, drugs and medicament,

persistent vomiting
Idiopathic
Occupational
• K03.3 Pathological resorption of teeth
Internal granuloma of pulp
Resorption of teeth (external)
• K03.4 Hypercementoses
• K03.5 Ankylosis of teeth
• K03.6 Deposits (accretions) 0n teeth
Dental calculus: subgingival, supragingival
Deposits on teeth: betel, black, green, materia
alba, orange, tobacco
Staining of teeth: NOS, extrinsic NOS

• K03.7 Posteruptive colour changes of dental hard

tissues
Excludes: deposits (accretions) on teeth (K03.6)
• K03.8 Other specified diseasesof hard tissues of teeth
Irradiated enamel
Sensitive dentine
Use additional external cause code (ChapterXX)
if desired, to identify radiation, if radiation-
induce
• K03.9 Disease of hard tissues of teeth, unspecified

18
 K04 Diseases of pulp and
periapical
tissues
• K04.0 Pulpitis
Pulpal: abscee, polyp
Pulpitis: acute,chronic
(hyperplastic,ulcerative)
suppurative
• K04.1 Necrosis of pulp
Pulpal gangrene
• K04.2 Pulp degeneration
Denticles
Pulpal: calcifications, stones

• K04.3 Abnormal hard tissue formation in pulp

Secondary or irregular dentine
• Ko4.4 Acute apical peridontitis of pulpal origin
Acute apical periodontitis NOS
• K04.5 Chronical apical periodontitis
Apical or periapical granuloma
Apical periodontitis NOS
• Ko4.6 Periapical abscess with sinus
Dental, Dentoalveolar – abscess with sinus
• K04.7 Periapical abscess without sinus
Dental,Dentoalveolar, Periapical – abscess NOS
• K04.8 Radicular Cyst
Cyst:Apical(perodontal),Periapical, Residual radicular

Excludes: lateral periodontal Cyst (K09.0)

• Ko4.9 Other and unspec. Diseases of pulp and
periapical tissues

K05 Gingivitis and periodontal diseases

• K05.0 Acute gingivitis
Excludes: Acute necrotizing ulcerative
gingivitis (A69.1)
Herpesviral (herpessimplex)
gingivostomstitis (B00.2)
• K0.1 Chronic gingivitis
Gingivitis (chronic): NOS,Desquamative,
Hyperplastic,Simple marginal,Ulcerative

19
• K05.2 Acute periodontitis
Acute pericoronitis, Paradontal
abscess, Periodontal abscess
Excludes:Acute apicalperidontitis (K04.4)
Periapical abscess (K04.7)
with sinus (K04.6)
• K05.3 Chronic periodontitis
Chronic pericoronitis
Periodontitis: NOS, Complex, Simplex
• K05.4 Periodontosis
Juvenile peridontosis
• K05.5 Other periodontal diseases
• K05.6 Peridontal diseases, unspecified

K06 Other disorder of gingiva and

edentulous alveolar ridge
Excludes: Atrophy of edentulous alv.ridge
(K08.2)
Gingivitis: NOS (K05.1), Acute (K05.0),
Chronic (K05.1)
• K06.0 Gingival recession
Gingival reccesion
(generalized)(localized)
(postoperative)
• K06.1 Gingival enlargment
Gingival fibromatosis

• K06.2 Gingival and edentulous alv. ridge lesions

associated with trauma
Irritative hyperplasia of edentulous ridge
(denture hyperplasia)
Use additional external cause code
(Chapter XX), if desired, to identify cause.
• K06.8 Other spec.disorder of gingiva and edentulous
alv.ridge
Fibrous epulis, Flabby ridge, Giant cell epulis,
Peripheral giant cell granuloma, Pyogenic
granuloma of gingiva.
• K06.9 Disorder of gingiva and edentulous alv.ridge,
unspec.

20
K07 Dento facial anomalies (including
malocclusion)
Excludes:Hemificial atrophy or hypertrophy (Q67.4)
Unilateral condylar hyperplasia or hypoplasia (K10.8)
• K07.0 Major anomalies of jaw size
Hyperplasia, hypoplasia: mandibular, maxillary
Macrognathism (mandib.)(maxillary)
Micrognathism (mandib.)(maxillary)
Excludes:Acromegaly (E22.0),Robin’s syndrome (Q87.0)
• K07.1 Anomalies of jaw-cranial base relationship
Asymetri of jaw,Prognatism (mandib, maxillary)
Retrognatism (mandib, maxillary)

• K07.2 Anomaliesof dental arch relationship

Cross bite (anterior,posterior)
Disto-, Mesio occlusion, Midline deviation
Openbite (anterior, posterior)
Overbite (excessive): deep, horizontal,vertical
Overjet,Posteriorlingual occlusion of mandib.tth
• K07.3 Anomalies of tooth position
Crowding, Diastema, Displacement, Rotation,
Spacing,abnormal,transposition–of tooth or teeth
Impacted or embedded teeth with abnormal
position of such teeth or adjacent teeth
Excludes: embedded and impacted teeth with
abnormal position (K01-)

• K07.4 Malocclusion, unspecified

• K07.5 Dentofacial functional abnormalities
Abnormal jaw closure
Malocclusion due to : abnormal swallowing,
mouth breathing, tongue,lip or finger habits
Excludes:Bruxism (F45.8),Teeth grinding (F45.8)
• K7.6 Temporomandibular joint disorders
Costen’s complex or syndrome
Derangement of temporomandibular joint
Snapping Jaw, Temporomandib. joint-pain-
dysfunction syndrome
Excludes:Current temporomandib joint:dislocation
(S03.0), strain(S03.4)

21
 • K07.8 Other dentofacial anomalies
• K07.9 Dentofacial anomaly, unspecified
K08 Other disorders of teeth and
supporting structures
• K08.0 Exfoliationof teeth due to systemic causes
• Ko8.1 Loss of teeth due to accident, extraction or
local periodontal disease
• K08.2 Atrophy of edentulous alveolar ridge
• K08.3 Retained dental root
• Ko8.8 Other spec.disorders of teeth and supporting
structures
Enlargment of alv. ridge NOS, Irregular alv.
process,Toothache NOS

• K08.9 Disorder of teeth and supporting

structures

K09 Cyst of oral region, not elsewhere

classified
Includes:lesions showing histological features
both of
aneurysmal cyst and of another fibro
-
osseous lesion
Excludes:radicular cyst (K04.8)
• K09.0 Developmental odontogenic cysts
Cyst: dentigerous, eruption, follicular,
gingival,
lateral periodontal, primordial
Keratocyst

• K09.1 Developmental(nonodontogenic) cyst of

oral
region
Cyst:globulomaxillary, incisive canal,
median
palatal, nasopalatine, palatine
papilla
• K09.2 Other cysts of jaw
Cyst of
jaw:NOS,aneurysmal,haemorrhagic,
traumatic
Excludes: latent bone cystof jaw (K10.0)
Stafne’s cyst (K10.0)
• K09.8 Other cyst of oral region, not elsewhere

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• K09.9 Cyst of oral region, unspecified

K10 Other diseases of jaw

• K10.0 Developmental disordersof jaw
Latent bone cystof jaw
Stafne’s cyst
Torus: mandibularis, Palatinus
• K10.1 Giant cell granuloma , central
Giant cell granuloma NOS
Excludes:peripheral giant cell granuloma (K06.8)
• K10.2 Inflammatory conditions of jaws
Osteitis, Osteomyelitis (neonatal),
Osteoradionecrosis, Periostitis, Sequestrum of
jaw bone – (acute, chronic, suppurative)

• K10.3 Alveolitis of jaws

Alveolar osteitis, Dry socket
• K10.8 Other specified diseases of jaws
Cherubism, Exostosis, Fibrous
dysplasia
Unilateral condylar: hyperplasia,
hypoplasia
• K10.9 Diseases of jaws, unspecified

K11 Disease of salivary glands

• K11.0 Atrophy of salivary gland
• K11.1 Hypertrophy of salivary gland
• K11.2 Sialoadenitis
Excludes:epidemic parotitis (B26-)

• K11.3 Abscess of salivary gland

• K11.4 Fistula of salivary gland
Excludes:congenital fistula of saliv gland (Q38.4)
• K11.5 Sialolithiasis
Calculus, Stone – of salivary gland or duct
• K11.6 Mucocele of salivary gland
Mucous:Extravasation cyst, Retention cyst
Ranula
• K11.7 Disturbances of salivary secretion
Hypoplyalism, Ptyalism, Xerostomia
Excludes: Dry mouth NOS (R68.2)
• K11.8 Other diseases of salivary glands
Benign lymphoepithelial lesion of salivary gland

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 Mikulicz disease, Necrotizing
Sialometaplasia, Sialectasia
Stenosis,Stricture – of salivary duct
Excludes:Sicca syndrome (Sjogren) M35.0
• K11.9 Diseases of salivary gland, unspecified
Sialodenopathy NOS
K12 Stomatitis and related lesions
Excludes:Cancrum oris (A69.0)
Cheilitis (K13.0)
Gangrenous stomatitis (A69.0)
Herpesviral(h simplex) gingivostomatitis
(B00.2), Noma (A69.0)

• K12.0 Recurrent oral aphthae

Aphthous stomatitis (mayor,minor)
Bednar’s aphthae, Periadenitis mucosa
necrotica recurrent, Recurrent aphthous ulcer,
Stomatitis herpetiformis
• K12.1 Other form of stomatitis
NOS, Denture, Ulcerative, vesicular
• K12.2 Cellulitis and abscess of mouth
Cellulitis of mouth (floor), Submandib. Abscess
Excludes: abscess of: periapical (K04.6-K04.7)
periodontal(K05.2), peritonsillar (J36)
salivary gland (K11.2), tongue (K14.0)

K13 Other diseasesof lip and oral mucosa

Includes: epithelial disturbances of tongue
Excludes: certain disorders of gingiva and edentulous
alv. ridge (K05-K06), Cyst of oral region
(K09.-), Diseases of tongue (K14.-),
Stomatitis and related lesions (K12.-)
• K13.0 Diseases of lips
Cheilitis: NOS, Angular, Exfoliative, Glandular.
Cheilodynia, Cheilosis, Perleche NEC
Excludes:Ariboflavinosis (E53.0),cheilitis due to radiation
related disorders (L55-L59)
Perleche due to: candidiasis (B37.8), riboflavin
deficiency (E53.0)

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• K13.1 Cheek and lip biting
• K13.2 Leukoplakia and other disturbances of oral
epithelium, including tongue
Erythroplakia, Leukoedema,, Leukokeratosis
nicotina palati, Smoker’s palate
Excludes: hairy leukoplakia (K13.3)
• K13.3 Hairy leukoplakia
• K13.4 Granuloma and granuloma-like lesions of
oral mucosa
Eosinophilic granuloma, Granuloma
pyogenicum, Verrucous xanthoma
• K13.5 Oral submucous fibrosis
Submucous fibrosis of lip

• K13.6 Irritative hyperplasia of oral mucosa

Excludes: irritative hyperplasia of edentulous
ridge (denture hyperplasia, K06.2)
• K13.7 Other and unspec lesions of oral mucosa
Focal oral mucinosis

K14 Diseases of tongue

Excludes Erythroplakia,

(ICD-X katagori kasus gigi dan mulut

disadur ulang oleh : Drg. Sutji Asri Tjitra Asmara, M.Kes)

STANDAR NASIONAL
REKAM MEDIK
KEDOKTERAN GIGI

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Latar Belakang
1. Identifikasi korban mati gigi
• Silk Air di Palembang 1997
• Bom Bali 2002  56 % dikenal dari gigi
• Bom Mc Donald Makasar 2002
• Bom Hotel JW Marriot Jakarta 2003
• Kecelakaan lalu lintas di Situbondo  60 % dikenal
dari gigi
• Bom Kedubes Australia 2004
• Korban Pesawat Garuda di Jogjakarta
• Kebakaran Ferri di Teluk Jakarta
• dll

Lanjutan Latar Belakang

2. Alasan Gigi sbg sarana identifikasi
a. Daya tahan gigi
• Gigi menjadi abu pada 538 ºC – 649ºC
• Gigi tiruan Acrylic menjadi abu pada 538 ºC – 649ºC
• Mahkota dan Inlay emas menjadi abu pada 871ºC –
1093ºC
• Mahkota Porcelen / bridge Porcelen hancur pada
1093ºC
• Amalgam Filling menjadi abu pada 871ºC
b. Individualitas gigi
• 1 orang 32 gigi dengan 5 permukaan
• Perbandingan 2 orang identik data gigi adalah 1 : 2
milyar
c. Informasi yang dapat diperoleh
• Umur, ras, jenis kelamin, golongan darah, ciri-ciri
khas, bentuk wajah/raut muka korban

Rekam Data Gigi

Isi rekam data gigi
1. Identifikasi pasien
2. Keadaan umum pasien
3. Odontogram
4. Data perawatan
5. Nama dokter gigi yang merawat

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1. Identifikasi pasien
Berisi :
• Nomor file
• Tanggal pembuatan status
• Nama
• Jenis kelamin
• Tempat tanggal lahir / umur
• Alamat rumah, nomor telepon rumah/Hp
• Pekerjaan
• Alamat kantor, nomor telepon kantor/faximilie

2. Keadaan umum pasien

Berisi :
• Golongan darah
• Tekanan darah / kelainan atau tidak
• Adakah kelainan hemopilia
• Adakah penyakit jantung
• Adakah penyakit diabetes
• Adakah alergi terhadap obat tertentu
• Adakah alergi terhadap makanan tertentu
• Adakah penyakit tertentu : Hepatititis, HIV/AIDS,
Sipilis, dll

3. Odontogram
Dilakukan pada kunjungan I, terletak pada lembar 1 RM,
dilengkapi setiap 1 thn sekali, setiap kontrol, jika pasien akan
pindah kota/dokter gigi, sebelum 1 tahun & banyak perawatan
Berisi :
•Tanggal pemeriksaan odontogram
•Gambar denah gigi
•Hubungan oklusi
•Ada tidaknya torus palatinus, torus mandibularis
•Type palatum : dalam/sedang/rendah
•Ada tidaknya supernumerery
•Ada tidaknya diastema sentral
•Ada tidaknya anomali atau ciri-ciri lain

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 4. Data perawatan
Berisi :
• Tanggal kunjungan
• Gigi yang dirawat
• Keluhan dan diagnosa
• Tindakan yang dilakukan
• Paraf doker gigi (bila terdapat lebih 1 drg)
• Rontgen foto, intra oral digital foto (bila
ada)

Status Gigi
• Nomenklatur : 2 digit dari FDI (Federation
Dentaire Internationale)

• Teknik penulisa data terapi ; jelas

dan teliti
• Kodifikasi : sederhana, 1 huruf, 1
tanda 1 arti, hirarkis

Kode-
Kode-kode gigi sesuai interpol

ODONTOGRAM

18 17 16 15 14 13 12 11  21 22 23 24 25 26 27 28

55 54 53 52 51 61 62 63 64 65



85 84 83 82 81 71 72 73 74 75

48 47 46 45 44 43 42 41
31 32 33 34 25 36 37 38

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 Sumber :
Depkes RI, 2004, Standar Nasional
Rekam Medik Kedokteran Gigi,
Ditjend Yanmedik, Jakarta

TERIMA KASIH

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